MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT DRG Code 469

Question: Encounter notes indicate that a patient suffers from pauciarticular juvenile rheumatoid arthritis (PJRA) of the hip and knee. What is pauciarticular juvenile rheumatoid arthritis, and how do I choose a diagnosis code for the condition? AAPC Forum Subscriber Answer: According to [...]

CMS turns down suggestions to mandate gainsharing, suspend post-acute transfer proration penalty. Home health agencies operating in Comprehensive Care for Joint Replacement Model areas can expect the bundling demonstration to influence their referrals and care planning for a longer period [...]

You’ll find hundreds of changes in the 2020 diagnosis code set. When it comes to treating pulmonary embolism, you may see a vast range of specific conditions — some of which aren’t easy to find in the ICD-10 manual. Fortunately, [...]

Get the scoop on the nearly here 2020 ICD-10-CM changes. CMS recently released the new ICD-10 2020 codes, but they won’t go into effect until Oct. 1, 2019. Read on to check out some of the new codes you may [...]

Dig into new atrial fibrillation codes I48.11 and I48.19. CMS recently published its list of the new ICD-10 2020 codes, but they won’t go into effect until Oct. 1, 2019. Read on to check out how these new codes and [...]

CMS offers new code options for pulmonary embolisms in 2020. Last month, the Centers for Medicare and Medicaid Services (CMS) updated the ICD-10-CM code list for 2020. The expansions, revisions, and updates include almost 400 changes and go into effect [...]

The 2020 diagnosis code list includes nearly 400 changes. CMS is expanding your coding options effective Oct. 1, thanks to almost 400 changes and updates to the ICD-10-CM code list. The agency published the full listing of codes in mid-June, [...]

The 2020 diagnosis code list includes nearly 400 changes. From heart conditions to bone injuries to overdoses, emergency departments see it all – and coding those conditions can be challenging, particularly when the ICD-10 code set has its limitations. Fortunately, [...]

Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]

Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]